Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr 7;22(1):131.
doi: 10.1186/s12893-022-01583-2.

Risk factors for postoperative ileus after diverting loop ileostomy closure

Toshihiro Nakao  1 , Mitsuo Shimada  2 , Kozo Yoshikawa  2 , Takuya Tokunaga  2 , Masaaki Nishi  2 , Hideya Kashihara  2 , Chie Takasu  2 , Yuma Wada  2 , Toshiaki Yoshimoto  2 , Syoko Yamashita  2 , Yosuke Iwakawa  2
Affiliations

Risk factors for postoperative ileus after diverting loop ileostomy closure

Toshihiro Nakao et al. BMC Surg. .

Abstract

Background: Postoperative ileus is one of the most common complications after diverting loop ileostomy closure. Some reports have investigated the risk factors for postoperative complications or ileus after ileostomy closure; however, these studies did not evaluate the index surgery sufficiently. In this study, we evaluated the risk factors, including the details of the index surgery, for ileus after diverting ileostomy closure.

Methods: This was a retrospective study of patients who underwent ileostomy closure following index surgery for rectal cancer. Patients who developed postoperative ileus [POI (+)] and patients who did not [POI (-)] after ileostomy closure were compared.

Results: Sixty-eight patients were evaluated and were divided into two groups: POI (+) (n = 11) and POI (-) (n = 57), and the groups were compared. There were no significant differences in the details of the index surgery, operative procedure, transanal total mesorectal excision, lateral lymph node dissection, operating time, or blood loss. The incidence of Clavien-Dindo grade ≥ III complications and adjuvant chemotherapy after index surgery were significantly higher in the POI (+) group.

Conclusions: The incidence of Clavien-Dindo grade ≥ III complications and adjuvant chemotherapy after index surgery may increase the risk of postoperative ileus after ileostomy closure.

Keywords: Diverting loop ileostomy; Ileostomy closure; Postoperative ileus; Rectal cancer; Risk factor.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Similar articles

See all similar articles

Cited by

References

    1. Scarborough JE, Mantyh CR, Sun Z, Migaly J. Combined mechanical and oral antibiotic bowel preparation reduces incisional surgical site infection and anastomotic leak rates after elective colorectal resection: an analysis of colectomy-targeted ACS NSQIP. Ann Surg. 2015;262:331–337. doi: 10.1097/SLA.0000000000001041. - DOI - PubMed
    1. Hidaka E, Ishida F, Mukai S, Nakahara K, Takayanagi D, Maeda C, et al. Efficacy of transanal tube for prevention of anastomotic leakage following laparoscopic low anterior resection for rectal cancers: a retrospective cohort study in a single institution. Surg Endosc. 2015;29:863–867. doi: 10.1007/s00464-014-3740-2. - DOI - PubMed
    1. Shen R, Zhang Y, Wang T. Indocyanine green fluorescence angiography and the incidence of anastomotic leak after colorectal resection for colorectal cancer: a meta-analysis. Dis Colon Rectum. 2018;61:1228–1234. doi: 10.1097/DCR.0000000000001123. - DOI - PubMed
    1. Defunctioning_Stoma_Reduces_Symptomatic.8.
    1. Kaidar-Person O, Person B, Wexner SD. Complications of construction and closure of temporary loop ileostomy. J Am Coll Surg. 2005;201:759–773. doi: 10.1016/j.jamcollsurg.2005.06.002. - DOI - PubMed

LinkOut - more resources